Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 2003
NPI: 1093893539
Practice Locations (3)
PERMANENTE MEDICAL GROUP INC
1100 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
PERMANENTE MEDICAL GROUP INC
1150 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
PERMANENTE MEDICAL GROUP INC
1190 VETERANS BLVD
REDWOOD CITY, CA 940632037
6502992000
Source: CMS National Downloadable File, September 2026.